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CLEBURNE INTEGRATED WELLNESS PA NPI 1366886939


NPI Information

NPI: 1366886939
Provider Name: CLEBURNE INTEGRATED WELLNESS PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
821 N NOLAN RIVER RD
CLEBURNE, TX
ZIP 76033
Phone: (817) 556-2000
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CLEBURNE INTEGRATED WELLNESS PA is a family medicine in Cleburne, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CLEBURNE INTEGRATED WELLNESS PA NPI is 1366886939. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

821 N NOLAN RIVER RD
CLEBURNE, TX
ZIP 76033-001
Phone: (817) 556-2000
Fax: (817) 553-2031

The provider's authorized official is Harold E Freeland .
The authorized official title is Owner and has the following contact phone number (817) 556-2000.

The enumeration date for this NPI number is 4/25/2013 and was last updated on 2/15/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2332B00000XDurable Medical Equipment & Medical SuppliesC7600TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1303656MEDICARE PINTEXAS
26835710001MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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